Client Consultation Form

Please provide some information that will be helpful for us to determine how we might be able to support you.

First Name *

Last Name *

Organization *

Position *

Email *

Phone *

I am inquiring about (check all that apply): *

In-house Diversity, Equity and Inclusion trainings for your organization

Strategic Planning and Visioning Sessions

Research, Surveys and Organizational Audits

Facilitation

Leadership Coaching and Assessments

Anima's Online Course Offerings - please specifyAnima's Online Course Offerings - please specify

OtherOther

What is your preferred timeline for working with Anima? *

Is this timeline flexible or are the dates set? *

Date/Timeline is flexible

Date/Timeline cannot be changed

Who will be participating in the training and workshops? *

Executive leadership

Managers

Staff

OtherOther

Please check which of the following are true for your organization: *

We have an equity/ diversity committee

Our management team has gone through a diversity or equity (or comparable) training

We have clear equity principles as part of our organization mandate

We have equity and inclusion benchmarks as part of our strategic plan

Briefly indicate your goals and objectives: *

Are you working with any budget parameters we should know about? If so, please specify. *

Are you contacting other potential vendors? *

Yes

How did you hear about us? *

I took one of Anima Leadership's workshops

An Internet Search

Social Media

Referral (who referred you?)Referral (who referred you?)

OtherOther

Join Our Free Anima Café Online

Your name *

Your email address *

Recording Consent

Anima Leadership will be recording this session and may share the audio portion. By participating, I consent to recording.

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